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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Severe Back Pain Along With Pain In Legs And Buttocks

I have severe back pain that is making it impossible to sit - saw my PCP this morning have been given a script for pain hydrocodone acetaminophen 5-325 have been using ice as well as ibuprofen with it but still no real relief. I ha he had back problems for decades from aa bulgingdiscs but have never experienced such pain. Pain is down both legs and into my butt. I have a follow up with the pcp Thursday. Should I just stay the course or is there something else I should do?
Thu, 14 Jan 2016
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General & Family Physician 's  Response
welcome to hcm,
I really appreciate your concern,
I think your symptoms are purely due to intervertebral disc compression,

1. You have a disc prolapse with mild nerve root compression at L4, L5 and S1 levels more on the right side. This can be treated with medicines and rest and physiotherapy exercises after the acute pain subsides. Regular physiotherapy exercises are needed to prevent the recurrence.

2. The treatment prescribed to you is just the basic treatment. All the medicines are safe and mild.

3. Discontinue using pillow while sleeping straight. Do not lift heavy objects, especially after bending down. Eat a healthy wholesome meal which should satisfy your minerals and proteins requirement.

4. The following measures will help with the pain
• Lie on a hard bed.
• Correct your posture while sitting
• Avoid prolonged sitting
• Avoid strenuous activity & lifting heavy weights.
• Apply diclofenac gel on the affected area. Warm compresses will also help.

5. Avoid driving bike and prolonged sitting till the pain subsides. You can lie straight.

6. Depends on how well you rest and how properly you take medicines and all precautions. Usually it takes 4-6 weeks to recover with full rest.

7. No weight bearing at all.

8. Your orthopedician or physiotherapist can demonstrate how to wear a belt and it is not loose fitting. You can remove the belt while lying down
Please let me know if you have any further queries,
Thanks.regards
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Suggest Medication For Severe Back Pain Along With Pain In Legs And Buttocks

welcome to hcm, I really appreciate your concern, I think your symptoms are purely due to intervertebral disc compression, 1. You have a disc prolapse with mild nerve root compression at L4, L5 and S1 levels more on the right side. This can be treated with medicines and rest and physiotherapy exercises after the acute pain subsides. Regular physiotherapy exercises are needed to prevent the recurrence. 2. The treatment prescribed to you is just the basic treatment. All the medicines are safe and mild. 3. Discontinue using pillow while sleeping straight. Do not lift heavy objects, especially after bending down. Eat a healthy wholesome meal which should satisfy your minerals and proteins requirement. 4. The following measures will help with the pain • Lie on a hard bed. • Correct your posture while sitting • Avoid prolonged sitting • Avoid strenuous activity & lifting heavy weights. • Apply diclofenac gel on the affected area. Warm compresses will also help. 5. Avoid driving bike and prolonged sitting till the pain subsides. You can lie straight. 6. Depends on how well you rest and how properly you take medicines and all precautions. Usually it takes 4-6 weeks to recover with full rest. 7. No weight bearing at all. 8. Your orthopedician or physiotherapist can demonstrate how to wear a belt and it is not loose fitting. You can remove the belt while lying down Please let me know if you have any further queries, Thanks.regards